Provider Demographics
NPI:1750489449
Name:TSAI, LINDA C (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:C
Last Name:TSAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-2057
Mailing Address - Country:US
Mailing Address - Phone:508-647-1600
Mailing Address - Fax:508-647-1695
Practice Address - Street 1:190 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-2057
Practice Address - Country:US
Practice Address - Phone:508-647-1600
Practice Address - Fax:508-647-1695
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA208363207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0162230Medicaid
MAA33744Medicare UPIN
MA0162230Medicaid